[Report 1950]

Library

URBAN DISTRICT OF
CHERTSEY

REPORT

OF THE

MEDICAL OFFICER
OF HEALTH

FOR THE YEAR 1950

Printed by

Philpott & Co. (Surbiton) Ltd.,
40-42, Brighton Road, Surbiton.

URBAN DISTRICT OF
CHERTSEY

REPORT

OF THE

MEDICAL OFFICER
OF HEALTH

FOR THE YEAR 1950

Printed by

Philpott & Co. (Surbiton) Ltd.,
40-42, Brighton Road, Surbiton.

Digitized by the Internet Archive
in 2017 with funding from
Wellcome Library

https://archive.org/details/b29103034

ANNUAL

REPORT

Council Offices,
Weybridge.

July, 1951.

To the Chairman and Members of the Chertsey Urban District

Council.

Mr. Chairman, Ladies and Gentlemen,

I have the honour to present my Annual Report for 1950.

From a perusal of the vital statistics which follow it will be seen
that the natural increase in population from the excess of births over
deaths was two hundred and eight. The birth rate for the year was
14.49 per 1,000 of the resident population as compared with 16.64
in the previous year. The death rate was 7.86 per 1,000 of the
resident population as compared with 8.30 in 1949.

The infant mortality rate was 13.19 per 1,000 bir±s as compared
with 29.8 for England and Wales. This is a remarkably low figure
and the lowest ever recorded in the district. All the six deaths
recorded were neo-natal, i.e., under four weeks of age. In this
connection it is worthy of note that there were no deaths from acute
infectious diseases in children up to school leaving age.

At the other end of the scale, cases of old people often living alone
who are in need of further care and attention frequently come to
notice. Consultation between ±e different authorities concerned in
their welfare is essential if the best results are to be achieved. A
hospital ward is now available locally in Ottershaw for suitable cases.

Progress in building of new houses continues but despite the number
of families rehoused the waiting list of applicants does not seem to

3

diminish. The large caravan dwelling population in the district is a
matter of some concern and is commented on more fully ip this report.

I wish to express my thanks to Members and Officers of the
Council, to the County Medical Staff and Medical Practitioners in
the district for their very helpful assistance and co-operation.

I have the honour to be,

Mr. Chairman, Ladies and Gentlemen,

Your obedient Servant,

D. P. MacIVER,

Medical Officer of Health.

4

GENERAL PROVISION OF HEALTH SERVICES

FOR THE AREA.

Public Health Officers of the Authority: —

0

(a) Medical Officer of Health:

D. P. MacIVER, M.C., T.D., M.D., D.P.H.

The Medical Officer of Health acts in a similar capacity for the
Rural District of Bagshot and the Urban District of Walton and
Weybridge. He is also Medical Officer for Ottershaw Hospital for
Infectious Diseases.

(b) Senior Sanitary Inspector:

C. J. CLEEVE, C.R.S.I.

Additional Sanitary Inspector:

G. H. BIRCH, C.R.S.I.

Mr. C. J. Cleeve holds the certificate of the Royal Sanitary Institute
for Sanitary Inspectors, the R.S.I. Certificate for the Inspection of
Meat and Other Foods, the Certificate for Building Construction of
the Board of Education, and the Honours Certificate of the Institute
of Hygiene for Hygiene of the Home.

Mr. G. H. Birch holds the Certificate of the Sanitary Inspectors’
Examination Joint Board for Sanitary Inspectors and for the inspec-
tion of meat and other foods.

(c) Clerk to the Medical Officer of Health:

Miss J. M. Eglon holds a joint appointment. She is responsible for
the secretarial duties appertaining to the work of the Medical Officer
of Health in all three distrias.

STATISTICS AND SOCIAL CONDITIONS OF THE AREA.

Area in Acres

Estimated resident population in July (estimate supplied by
Registrar-General)

Number of Inhabited Houses according to Rate Books ...
Rateable Value

A sum represented by a Penny Rate

9,983

31,400

7,547

£224,152

£895

Social Conditions, including Chief Occupations of the

Inhabitants.

The chief occupations of the inhabitants are connected with agri-
culmre and engineering; a large part of the area is of rural character,
the smaller urban portions contain the bulk of the population in the
townships of Addlestone and Chertsey.

5

Vital Statistics.

Number of Births

1950

455

1949

501

Birth-Rate per 1,000 of the population

14.49

16.64

Number of Still Births

14

10

Still Birth-Rate per 1,000 total births ... ... ...

30.77

19.57

Number of Deaths

247

250

Death-Rate (actual) per 1,000 of the population ...

7.86

8.30

Death-Rate (after correction by the Registrar-General’s
Comparability Factor)

8.96

_

Natural increase of population during year by excess of
births over deaths ...

208

251

Number of deaths of infants (under the age of one year) ...

6

10

Infant Mortality per 1,000 live births

1,3.19

19.96

Number of women dying in, or in consequence of, childbirth

Nil

Nil

Death-Rate from Influenza per 1,000 of the population ...

0.06

Nil

Death-Rate from Pneumonia per 1,000 of the population ...

0.41

0.37

Death-Rate from Measles per 1,000 of the population

Nil

Nil

Death-Rate from Whooping Cough per 1,000 of the popula-
tion ...

Nil

Nil

Death-Rate from all forms of Tuberculosis per 1,000 of the
population ...

0.19

0.36

Death-Rate from Cancer per 1,000 of the population

1.53

1.39

Death-Rate from Heart Disease per 1,000 of the population

2.68

2.39

Extract from Vital Statistics.

Male.

Female.

T otal.

Live Births;

Legitimate ... ... ... ... ... 201

232

433

Illegitimate ... ... ... ... ... 6

16

22

Birth-Rate (per 1,000 estimated resident population) — Mean of five

years 1945-1949

...

17.50

Death-Rate (per 1,000 estimated resident population) — Mean of five

years 1945-1949

...

8.62

Deaths from Maternal Causes — Rate per 1 ,000 total (live and still)

births ...

. . .

Nil

Death-Rate of Infants under one year of age:

All infants per 1,000 live births

• . •

13.19

Legitimate infants per 1,000 legitimate live births ...

13.85

Illegitimate infants per 1,000 illegitimate live births

Nil

6

The following table shows the birth and death rates per 1,000 of
the population of the District, and England and Wales, for 1949 and
1950.

COMPARATIVE BIRTH AND DEATH RATES.

.Annual Rates per
of Population

1,000

Infantile
Mortality
per 1,000
live births

Mortality
Maternal
per 1,000
total births

Birth-Rate

Death-Rate

1950

1949

1950

1949

1950

1949

1950

1949

Chertsey U.D. ...

14-49

16'64

7-86

8-30

13‘19

19-96

Nil

Nil

England and

Wales

15-8

167

11-6

11-7

29-8

34

0-86

0 98

CAUSES OF DEATH.

Tuberculosis, respiratory

Male.

4

Female.

2

T otal

6

Tuberculosis, other forms

—

—

—

Syphilitic disease ...

—

—

—

Diphtheria

—

—

—

Whooping Cough

—

—

—

Meningococcal infections ...

—

—

—

Acute Poliomyelitis

—

1

1

Measles

—

—

—

Other infective and parasitic diseases

2

—

2

Malignant neoplasm, stomach

5

4

9

Malignant neoplasm, lung, bronchus

8

1

9

Malignant neoplasm, breast

—

7

7

Malignant neoplasm, uterus

—

2

2

Other malignant and lymphatic neoplasms

13

8

21

Leukaemia, aleukaemia

—

—

—

Diabetes

—

1

1

Vascular lesions of nervous system

8

23

31

Coronary disease, angina ...

27

14

41

Hypertension with heart disease ...

3

2

5

Other heart disease

19

19

38

Other circulatory disease

5

7

12

Influenza ...

2

—

2

Pneumonia (all forms)

7

6

13

Bronchitis ...

7

4

11

Other diseases of respiratory system

1

—

1

Ulcer of stomach and duodenum

3

—

3

Gastritis, enteritis and diarrhoea ...

—

—

—

Nephritis and Nephrosis ...

1

1

2

Hyperplasia of prostate ...

1

—

1

Pregnancy, childbirth, abortion ...

—

—

—

Congenital malformations

1

—

1

Other defined and ill-defined diseases

12

8

20

Motor vehicle accidents ...

2

—

2

All other accidents

1

4

5

Suicide

1

—

1

Homicide and operations of war ...

—

—

—

ALL CAUSES ...

133

114

247

Byelaws in force in the District: —

Byelaws in

respect

of New Streets ...

... 1926

yy

Buildings

... 1939

yi

yy

Common Lodging Houses ...

... 1899

yy

yy

Nuisances

... 1899

yy

yy

S laughterhouses

... 1899

yy

yy

Tents, Vans and Sheds

... 1902

yy

yy

Hackney Carriages ...

... 1920

yy

yy

Allotments

... 1907

yy

yy

Offensive Trades

... 1935

Laboratory Facilities: —

(1) Water. Samples of water as supplied by the West Surrey
Water Company are submitted to chemical and bacteriological exam-
ination by Messrs. Rideal, Rideal and Sciver. These samples are
taken in rotation from the Urban District of Chertsey and the Urban
Distria of Walton and Weybridge. The results of these investigations
are tabulated on page 11.

(2) Specimens relating to infectious disease and routine samples of
water and milk have been examined at the Public Health Laboratory
at Epsom since 1944. Specimens of an urgent nature, e.g., diphtheria
swabs, can be sent for examination to the Laboratory at St. Peter’s
Hospital, Chertsey.

Routine samples of water, milk and ice cream have been examined
at Epsom throughout the year.

The Bacteriologist at the Epsom Laboratory is also prepared to act
in a consultative capacity and this service is much appreciated.

Ambulance Facilities: —

The Ambulance Service provided by the Surrey County Council
in ±is area is controlled from the Main Station, Sharrard House,
Heathside Road, Woking (tel. Woking 3040). There is a Sub-Station
at Chertsey Fire Station (tel. Chertsey 3185).

For infectious diseases an ambulance was operated by ±e Regional
Hospital Board at the Ottershaw Isolation Hospital.

In addition transport was provided for hospital patients by the
Hospital Car Service, the local area transport office being at 36,
Guildford Street, Chertsey (tel. Chertsey 2350).

The St. John Ambulance Brigade also provide an ambulance from
London Street, Chertsey (tel. Chertsey 3220).

8

Nursing in the Home: —

District Nurses and Midwives: —

Five Distria Nurses are in practice in the Urban District. These
Nurses also act as Midvvives.

Health Visitors: —

There are four County Health Visitors in the District who visit
homes under the School Medical and Maternity and Child Welfare
Services.

Clinics and Treatment Centres: —

The Surrey County Council have provided ±e following clinics and
treatment centres under their School Medical Service and Maternity
and Child Welfare Schemes : —

Centre

Address

Clinic

Day

Addlestone

S.C.C. Clinic,
Princess Mary’s
Village Homes.

School Medical
Child Welfare
Ante-Natal

Every Thursday
Every Friday

Every Monday

Chertsey

S.C.C. Clinic,
Stepgates.

School Medical
Child Welfare
Ante-Natal

Every Wednesday
Every Thursday
Every Friday

New Haw

S.C.C. Clinic,
Co-operative Hall,
Woodham Lane.

Ante-Natal

School Medical
& Child Welfare

1st & 3rd Thursday
Every Wednesday
1st, 3rd & 5th

Tuesday

Ottershaw

Red Cross Hut.

School Medical
& Child Welfare

2nd & 4th

Thursday

Special clinics for dental and eye treatment are also held monthly,
or as required.

Chest Clinics: —

Addlestone and Chertsey are served by the following Clinics : —
Locke King Clinic, Weybridge:

1st, 3rd, 4th and 5th Fridays of each month at 10.0 a.m.

2nd Friday of each month at 2.0 p.m.

Clarence Avenue, Woking:

Every Monday at 10.0 a.m.

2nd Monday of each month at 5.30 p.m.

Venereal Disease: —

The following clinics are held for any persons wishing to attend
from this area : —

Guildford. — Royal Surrey County Hospital.

Males. — Tuesdays, 5.0 to 7.0 p.m.

9

Females. — Mondays, 2.0 to 7.0 p.m.

Thursdays, 9.30 to 11.30 a.m.

Kingston — Kingston County Hospital, Wolverton Avenue.

Females. — Thursdays, 5.0 to 7.0 p.m.

Woking. — ^Woking and District Victoria Hospital.

Males. — Thursdays, 5.0 to 7.0 p.m.

Females. — Tuesdays, 4.0 to 7.0 p.m.

Hospitals: —

The district is served by the following hospitals: —

General. — St. Peter’s Hospital, Chensey.

The Hospital, Weybridge.

Maternity. — Woking Maternity Home.

Infectious Diseases. — The Isolation Hospital, Ottershaw.
These Hospitals came under the control of the Woking and
Chertsey Group Hospital Management Committee in July, 1948.

National Assistance Act, 1948, Section 47; —

No action was required to be taken by the Council under this
Section. Several cases did arise of old people in need of care and
attention. These were either taken over by the County Welfare
Department or persuaded to enter hospital for treatment.

As welfare, housing and hospital authorities are all concerned with
the well being of old people ±e need for consultation and co-ordinated
effort is apparent.

A hospital ward for old people has recently been opened at the
Ottershaw Hospital.

Mortuaries: —

One mortuary is provided for the district, and is situated at the
Council’s Depot, Fordwater Road, Chertsey.

10

SANITARY CIRCUMSTANCES OF THE AREA.

Water Supply: —

The district is within the area of supply of the West Surrey Water
Company. Samples of water as supplied by the Company are
submitted to chemical and bacteriological examination.

During the year twenty-seven samples were taken by the Public
Health Department and submitted for bacteriological examination at
the Public Health Laboratory at Epsom. In one locality four of these
samples fell below the usual bacteriological standard. This was
rectified by flushing out the main pipes.

The West Surrey Water Company informed us of the results of
twenty-six samples taken throughout the year.

Three samples were taken by the Council’s analyst and examined
both bacteriologically and chemically. The results of analysis are
tabulated below : —

Date sample taken

9th June

14th Sept. 12th Dec.

Organisms per ml. at 20°C in 72

hours on agar

2

12

54

Organisms per ml. at 20°C in 72

hours on gelatine

1

5

17

Organisms per ml. at 37.5 C in 48

hours on agar

4

5

95

Absent

Present

Absent

Coliform organisms

from

in

from

50 ml.

5 ml.

100 ml.

Chemical Examinations

in parts per 10,000.

Free Ammonia

0.0048

0.0024

0.006

Albuminoid Ammonia

0.0108

0.0039

0.010

Oxygen consumed from perman-

ganate (4 hours at 80 F)

0.102

0.1088

0.1886

Approximate number of dwelling houses with main water,

supplied direct to the houses 7,417

Estimated population supplied direct ... ... ... 30,900

Approximate number supplied by means of standpipes ... 18

Estimated population supplied by means of standpipes ... 70

Samples of the water supplied by the West Surrey Water Company

to the Chertsey Urban District Council and the adjoining district of
Walton and Weybridge are taken monthly at different points and
analysed both chemically and bacteriologically. These results are
reported monthly to the respective Councils. The results of analysis
show ±at a satisfactory standard has been maintained throughout
the year.

By an arrangement with the Water Engineer of the West Surrey
Water Company, reports are exchanged monthly and so a formightly
check on ±e bacteriological and chemical condition of the supply is
available.

11

Pump or Well Supplies: —

Fifty-five samples were collected from pumps and wells, with the
following results : —

Satisfactory

Contaminated

Total

From dwelling houses

16

9

25

From camping sites

12

18

30

Totals

28

27

55

In one case, at a dwelling house, main water supply was available
and was laid on to the premises. In other cases, the owners were
advised where possible on the cleansing of the wells, and in all cases
of unsatisfactory reports, the occupiers were advised on the necessary
precautions.

Drainage and Sewerage: —

There was no drainage or sewerage work worthy of note undertaken
in 1950.

Rivers and Streams: —

No pollution was detected during the year.

Closet Accommodation: —

The following are the approximate

number of pail

closets, etc., at

premises situate in

the district : —

Pail or

“ Elsan type

Privies

Tub Closets

Closets

Addlestone Ward

2

60

Chertsey Ward

—

47

10

Outer Ward

4

137

-

Totals ... 6

244

10

In addition to the above there are 35 pail closets at Camps taken
over by the Council for temporary housing purposes.

There are also a number of these types of closets at Camping Sites
and on Farm lands.

139 closets are emptied weekly under the super\'ision of the Senior
Sanitary Inspector. This work is carried out by means of a Bedford
and a Dennis Cesspool Emptier adapted for the purpose.

12

Public Cleansing: —

(a) Street Cleansing and the disposal of house and trade refuse
and salvage are under the supervision of the Engineer and Surveyor,

who has supplied the following details: —
Salvaged materials sold during the year:

tons

cwts.

Waste paper

... 204

m

Baled tins

11

0

Scrap iron ...

18

m

Non-ferrous metals

—

17

Bottles and Jars

32

15

Cullet

29

m

Household bones

—

4

Kitchen waste

78

11

Textiles ... ...

10

10

Sundries, Red Rubber

. . . —

1

Cesspool Emptying: —

This work is carried out under the supervision of the Senior
Sanitary Inspector.

One 750 gallon Dennis Cesspool Emptier and one 750/800 gallon
Bedford Cesspool Emptier are in use whole-time, each of the vehicles
being specially equipped for dealing with the contents of pail closets.

During the year the following work was carried out : —

Number of houses where cesspools were emptied ... 401

„ „ institutions, business premises, etc., where

cesspools were emptied 18

„ „ loads removed from private houses ... 4,773-^-

„ „ loads removed from institutions, etc. ... 592|

Total volume removed from: —

Private houses ... 3,580,125 gallons.

Institutions, etc. ... ... 397,125 gallons.

13

SANITARY INSPECTION OF THE AREA.

Report of the Senior Sanitary Inspector: —

Dwelling houses inspected under the Housing (Consolidated)
Regulations

Dwelling houses inspected for housing defects under the Public
Health Act

Dwelling houses visited with respect to water supply ...

Dwelling houses inspected with respect to drainage and closet
accommodation

Premises inspected other than above, including inspections on
complaint, enquiries re infectious disease, etc.

Visits to houses with respect to infestation ...

„ „ Council houses

„ „ houses re dustbins

Visits re nuisance from Smoke, etc. ...

Visits to houses for purpose of examination of bedding and
furniture of prospective tenants for houses ...

Premises inspected as regards accommodation and over-
crowding

Inspections of Meat at Government Slaughterhouse ...

„ „ Dairies and Cowsheds ...

„ „ Food at Shops ...

„ „ Knackers Yard ...

„ „ Offensive Trade Premises

„ „ Factories

„ „ Common Lodging House

„ „ Ice Cream Stores, etc. ...

„ „ Tents, Vans, etc.

„ „ Ponds, etc., re Mosquito control

„ „ Shops under Shops Acts

9

153

118

102

349

35

23

38

10

123

33

343

105

150

48

6

182

9

128

210

8

375

2,557

Re-inspections ... 595

Total ... 3,152

Other Matters: —

Number of complaints received

183

53

„ letters sent

502

55

„ letters received

506

55

„ rooms disinfected after cases of infectious disease

43

53

„ verminous rooms cleansed

23

35

„ samples of Ice Cream taken for analysis

16

33

„ samples of Milk taken for analysis

93

>3

„ samples of Water taken for analysis

82

14

Preliminary Notices: —

Number of Preliminary Notices served ... ... ... 185

Number of Preliminary Notices complied with 147

(This number includes premises dealt with prior to 1950).

Statutory Notices: —

Number served under the Public Health Act, 1936 : —
Section 39 ...

75

50

93

56

Number served under the Housing Act, 1936: —
Section 9

Number of notices complied with : —

Public Health Act, 1936. Section 39

53

55

55

55

/j

...

35

55

55

55

55

83

. . .

55

55

55

35

35

93

. • •

Housing Act, 1936. Section 9

1

2

1

1

2

18

1

2

1

1

16

(The number complied with under the Housing Act includes
notices served prior to 1950).

Defects remedied and work carried out as a result of the

Sanitary Inspector’s representations: —

Roofs repaired ... ... ... ... ... 53

Eaves-gutters repaired ... ... ... ... ... ... 35

Rainwater pipes repaired or replaced ... 19

Means of disposal provided for rainwater ... ... ... 4

Chimneys repaired ... ... ... ... 15

External walls repaired ... ... ... ... ... ... 22

External walls roughcast or rendered ... ... ... ... 1

Concrete provided under floors ... ... ... ... ... 2

External walls treated with waterproof solution ... ... 1

Windows repaired ... ... ... ... ... ... 74

Window sills repaired ... ... ... 24

Sashcords provided ... ... ... ... ... ... 40

Damp proof courses provided ... ... ... ... ... 2

Exterior of premises painted 4

Cement plinths provided ... ... ... ... ... 4

Doors repaired ... ... 22

Treads to stairs repaired ... ... ... ... ... 6

Soil removed away from walls ... ... ... 6

Staircases repaired ... ... ... ... ... ... 2

15

Pail closets repaired or renewed ... ... ... ••• 1

W.C.’s cleansed 2

Coppers repaired ... ... ... ... ••• ••• 3

Floors repaired 74

Plastering to walls repaired ... ... ... ... ... 72

Ceilings repaired ... ... ... ... ... ... 52

Living rooms or bedrooms cleansed ... ... ... ... 39

Passages and staircases cleansed ... ... ... ... 6

Sculleries cleansed ... ... ... ... ... ... 12

Food stores cleansed ... ... ... ... ... ... 3

Ceilings cleansed ... ... ... ... ... ... 12

Grates and stoves renewed or repaired ... ... ... ... 20

Sinks provided or renewed ... ... ... ... ... 3

Sink waste pipes renewed or repaired ... ... ... ... 7

Drains repaired or cleansed ... ... ... ... ... 18

Cesspools repaired ... ... ... ... ... ... 3

W.C.’s repaired ... ... ... ... ... 28

Dustbins provided ... ... ... ... ... ... 13

Yards paved or repaired ... ... ... ... ... 1

Offensive accumulation removed ... ... ... ... 2

Premises provided with main water supply in lieu of well

supply 1

Premises connected to sewer ... ... ... ... ... 3

Factories Act, 1937: —

182 inspections of factories were made during the year
attention called to defects and want of cleansing.

Work carried out as follows : —

Trade waste removed

Sanitary conveniences cleansed ...

55 55 repaired

55 55 provided

55 55 provided with ventilation

and

1

4

2

2

3

16

Inspections: —

Number

Number of

Premises

on

Register

Inspections

Written

Notices

Occupiers

prosecuted

(i) Factories in which Sec-
tions 1, 2, 3, 4 and 6 are
to be enforced by Local
Authorities

20

82

1

(ii) Factories not included in
(i) in which Section 7 is
enforced by the Local
Authority

94

100

9

(iii) Other Premises in which
Section 7 is enforced by
the Local Authority (ex-
cluding out-workers’
premises)

TOTAL ...

114

182

10

—

Cases in which DEFECTS were found: —

Number of cases in which defects were found

Number of
cases in
which

prosecutions

were

instituted

Particulars

Referred

Found

Remedied

To H.M.
Inspector

Inspector
By H.M.

Want of cleanliness

Overcrowding

—

_

—

—

—

Unreasonable temp-
erature

Inadequate ventilation

- -

-

Ineffective drainage
of floors ...

—

Sanitary Conveniences
(a) Insufficient

1

1

1

(6) Unsuitable or
defective

2

2

1

(c) Not separate for
sexes ...

1

1

1

Other offences against
the Act (not in-
cluding offences re-
lating to Outwork)

9

8

5

—

TOTAL ...

13

12

—

8

—

17

Outwork (Sections 110 and 111): —

Section 110

Section 111

Nature
of Work

No. of
out-workers
in August
list required
by Sect.
110 (1) (c)

No. of
cases of
default
in sending
lists to the
Council

No. of
prosecu-
tions for
failure to
supply lists

No. of
instances of
work in un-
wholesome
premises

Notices

served

Prosecu-

tions

Wearing
apparel :
Making, etc.

4

nil

nil

nil

nil

nil

Premises and Occupations which can be controlled by Bye-
laws or Regulations: —

The one Common Lodging House in the district is situated in the
Chertsey Ward, and is registered to accommodate 43 lodgers. During
the year, nine visits were made to the premises which were found to
be conducted in a satisfactory manner and to comply wi± the byelaws.

A considerable number of tent and van dwellers continue to visit
the district during the year and encamp on various lands for variable
periods. Many of these are engaged on agricultural work for farmers
within the district.

Smoke Abatement: —

During the year, complaints were receiv^ed with respect to nuisance
from a factory chimney. Representations were made to the firm
concerned, and the plant has now been modernised and a larger and
taller chimney erected.

Eradication of Bed Bugs: —

Number of Council houses found to be infested 10

„ „ privately-owned houses found to be infested ... 1

„ „ Council houses disinfected 10

„ „ privately-owned houses disinfected 1

The work of disinfestation of Council houses is carried out by the
Public Health Department. The treatment consists of fumigation by
Qmex blocks and spraying with Zaldecide or other similar product.
Picmre rails, skirting boards and other moveable woodwork are
usually taken down before treatment.

In the case of privately-owned houses, arrangements are usually
made by the owner with a Contractor who carries out the necessary
work at the expense of the Owner. The Council, if necessary, assist

18

the Contractor by supplying materials at cost price and the Sanitary
Inspectors are always prepared to advise and supervise the work.

Pest Control: —

Since the Prevention of Damage by Pests Act, 1949, came into
operation on the 1st April this year, a Pests Officer has been employed
whole-time by the Council to carry out the functions of the Act.

The Ministry’s recommended methods of control and disinfestation
are employed and the following is a summary of the work carried
out : —

Private Dwelling Houses: —

Number of complaints of Rat Infestation received ... ... 85

„ „ complaints of Mice Infestation received 27

„ „ Treatments carried out by Local Authority ... 71

„ „ Treatments carried out by Occupiers after advice 20

„ „ Private Contractors engaged by Occupiers ... 5

„ „ cases where no infestation was found ... ... 16

„ „ visits made for the above purpose ... ... 211

Premises under the control of the Council: —

3 treatments involving 12 visits were made at the Sewage Works.

3 treatments involving 16 visits were made at the Lyne Refuse Tip.

3 treatments involving 16 visits were made at the Fordwater Road
Depot.

Sewers: —

Tests were carried out during October on the sewer system with
negative results.

The estimated kill according to the formula of the Ministry

of Agriculture and Fisheries was ... ... ... 1,195 Rats

The number killed by trapping was 14 Rats

1,209 Rats

The estimated number of mice killed by poisoning and
trapping was ... ... ... ... ... ... 84 Mice

Rag Flock Acts, 1911 and 1928: —

Flock used by upholsterers in the area is guaranteed to meet the
requirements of the Rag Flock Acts. Flock removed from old bedding
and upholstered furniture is destroyed.

Swimming Pools: —

There are no known private swimming pools in the district to which
the public are admitted. The Council have provided and maintain

19

a bathing pavilion with accommodation for males and females, on the
north bank of the River Thames near Chertsey Bridge; during the
summer months an attendant is also provided.

Schools: —

There are nine elementary schools, one secondary school, four Boys’
Colleges and two private schools within the district. All obtain their
drinking water from the main supply of the West Surrey Water
Company.

One elementary school and one Boys’ College are provided with
cesspool drainage, one Boys’ College is drained on the septic tank
system, one Boys’ College and the two private schools are provided
with a complete private drainage system, and the remainder all have
main drainage.

1. — Inspection of Dwelling Houses during the year: —

(1) (a) Total number of dwelling houses inspected for

housing defects (under Public Health or Housing

Acts) 164

(b) Number of inspections made for the purpose ... 164

(2) (a) Number of dwelling houses (included under sub-

head (1) above) which were inspected and recorded
under the Housing (Consolidated) Regulations,

1925 9

(b) Number of inspections made for the purpose ... 9

(3) Number of dwelling houses found to be in a state so

dangerous or injurious to health as to be unfit for
human habitation 5

(4) Number of dwelling houses (exclusive of those referred

to under the preceding sub-head) found not to be in all
respects reasonably fit for human habitation ... ... 159

2. — Remedy of Defects during the year without Service of

Formal Notice: —

Number of defective dwelling houses rendered fit in conse-
quence of informal action by the Local Authority or their

officers 126

(This number includes premises inspected prior to 1950).

3. — Action under Statutory Powers during the year: —

(a) Proceedings under Sections 9, 10 and 16 of ±e Housing
Act, 1936: —

(1) Number of dwelling houses in respect of which

notices were served requiring repairs ... ... 18

(2) Number of dwelling houses which were rendered
fit after service of formal Notices: —

(a) By Owners ... ... ... ... 15

(b) By Local Authority in default of Owners ...

20

(b) Proceedings under Public Health Acts : —

(1) Number of dwelling houses in respect of which

notices were served requiring defects to be
remedied ... ... ... ... ... ... 7

(2) Number of dwelling houses in which defects were
remedied after service of formal Notices: —

(a) By Owners ... ... ... ... ... 5

(b) By Local Authority in default of Owners ... —

As regards houses found to be unfit for habitation, 1 has been

demolished by the owner, in one case a part of a building has been
closed, and the remaining three cottages are under consideration.

Housing Act, 1936 — Overcrowding: —

All cases of overcrowding coming to notice are referred to the
Housing Committee for rehousing as and when accommodation
becomes available.

Housing: —

At the end of the year six hundred and fourteen new houses had
been completed by the Local Authority since 1945. There were in
course of erection ninety-eight houses and forty-four flats. One
hundred and thirty-six family units were rehoused in Council houses
or requisitioned houses and hutted camps. There still remains a
waiting list of eleven himdred applicants. Various factors such as
the amenities of the district and easy access to London help to keep
this list at a high level.

Special consideration is given to the rehousing of families where
there is an infectious and notified case of tuberculosis and where there
are young children at risk, ±e aim being to give each infectious case
a separate bedroom.

The deterioration in the condition of privately-owned older houses
continues, as is inevitable at the present rate of building of new houses.
Some of these houses are not capable of being brought up to a
desirable standard of fimess at a reasonable cost and in ±e present
housing shortage it would be unreasonable to represent them for
demolition.

Some newcomers to the district, especially in the region of new
trading estates, find the answer to their housing problems by taking
to dwelling in caravans. A list of Camping Sites follows with
comments on various aspects of this ever-increasing problem.

Camping Sites: —

Mixnam*s Farm: —

In this area, scattered about various fields and on the bank of the
River Thames, are approximately two hundred and seventeen dwel-
lings, comprising trailers, vans, coaches and huts. Of this number
ninety-four are occupied permanently, with a population of one
hundred and seventy-eight adults and sixty-eight children.

21

This camping site has been in existence for at least twenty years.
The present Medical Officer of Health and his predecessors have
repeatedly advised the Council to adopt Section 269 of the Public
Health Act, 1936, by which it was hoped to control by licence and
keep within reasonable limits the number of caravans on this site.
The Council have preferred to retain the provisions of the Surrey
County Council Act for dealing with this problem.

Since the end of the last war, owing to the ever increasing caravan
population, these unsatisfactory conditions have become alarming and
I consider them a potential danger to the health of the permanent
and week-end residents.

All residents are supplied with water from pumps driven into the
gravel soil. Excreta and foul water are usually disposed of in pits in
the various plots. The pollution of wells cannot fail to take place
from the very heavy and continuous addition of foul matter adjacent
to the well supplies. The level of the ground water is high and
pollution occurs very readily.

Summary of Water Samples Collected.

Samples

Year

Collected

Satisfactory

Contaminated

% Contaminated

1945

11

2

9

82%

1946

9

3

6

66%

1949

21

1

20

95%

1950

26

12

14

54%

The position with regard to these insanitary conditions and unsafe
water supply has been frequently before the Council. In December,
1950, the Chertsey Council expressed their grave concern for the
health of the residents in a report to the Ministry of Health. This
site was the subject of an enquiry under Town and Country Planning
as a result of which permission has been given to week-end residents
to remain on the site for three years.

Controlled camping grounds appear to be the solution of the
problem for these types of caravan used on account of the housing
shortage. Such sites can be provided with reasonable services in-
cluding main water supply, adequate sanitation and ablution blocks.
These sites can be under Council management or be managed by
private enterprise on plans approved by the Council.

The Surrey County Council have made suggestions for model rules
for the management of permanent sites. Following on discussions
between the County Medical Officer of Health and District Medical
Officers regulations and standards have been devised and agreed
relating to sanitary and other arrangements which it is considered
should be made applicable to all sites used for permanent and
temporary accommodation.

22

It is hoped that the Council can see their way to acquire and
establish such a site with these approved standards. This seems to be
the best way of dealing effectively with the existing insanitary sites.

Chertsey Lock: —

On this site there are approximately fifty trailers and vans. Of this
number thirty-three are permanently occupied, with a population of
fifty-six adults and ±irteen children.

Water is obtained from one pump on the site. It is understood,
however, that further pumps are being installed.

Closet contents are taken to a properly constructed pit in an
adjoining field, which is periodically emptied.

Refuse bins are provided for the use of the occupiers and the refuse
is removed from the site.

Brox Lane, Ottershaw: —

On this site there are seven vans and one hut. Seven are perman-
ently occupied with a population of twelve adults and one child.

One well is in use for water supply.

Contents of closets and refuse are disposed of on the site.

Duffins, Ottershaw: —

There are eleven trailer type vans on this site, of which four are
permanently occupied, with a population of nine adults and four
children.

Pail closets are in use and the contents are disposed of on the site.
Refuse is removed.

Main water is supplied by means of a standpipe on the site.

Boathouse, Weyhridge Road: —

On ±is site there are eleven trailers and vans, of which ten are
permanently occupied, with a population of eighteen adults and six
children.

Main water supply is available.

Pail closets are in use, and the contents are disposed of into a
cesspool near the boathouse.

Refuse is removed from the site.

Black Boy Farm, Weyhridge Road: —

On land adjacent to the river and railway ±ere are twenty-seven
trailers, three vans, one coach and three houseboats. Of these various
types twenty-five are permanently occupied, with a population of
forty-nine adults and twenty children. Elsan closets are in use and
the contents are disposed of on the various sites. Water is obtained
from a few pumps in different parts of the area, which are used in
common.

Two hundred and ten inspections were made at the various sites
during ±e course of the year.

23

INSPECTION AND SUPERVISION OF FOOD.
Milk Supply: —

Under the Milk and Dairies Regulations of 1949 the Ministry of
Agriculture is now responsible for the supervision of milk production
and the bacterial cleanliness of milk produced on the farm. The Local
Authority is now only concerned and responsible for conditions of
distribution to the consumer. It is felt that only the closest liaison
and interchange of information between the Inspectors of the Ministry
and the Local Authority can hope to equal the valuable results
achieved in the past by the Officials of the Local Authority with their
experience and personal and local knowledge of conditions.

If there is any suspicion of infectious disease being carried by the
milk the Medical Officer of Health has still the right to visit the farm
and submit any specimens of human or animal origin, including the
milk itself, for examination for pathogenic organisms.

The Medical Officer of Health was authorised towards the end of
the year to take samples of untreated milk and have them tested
biologically for tuberculosis. This is a very necessary preventive
measure when all milk is not pasteurised and so rendered safe. Cases
of non-pulmonary tuberculosis do occur, particularly in children, and
suspicion with regard to the milk supply arises in these cases. Six
samples of untreated milk are now examined monthly and this will
ensure that herds from which raw milk is sold are examined at least
four times a year. All samples of milk examined during the year for
tuberculosis were found to be negative.

Milk (Special Designations) Regulations, 1949: —

Licences were issued under the above Regulations as follows: —

Dealers’ Licences.
Tuberculin Tested Milk
Pasteurised Milk
Sterilised Milk ...
Supplementary Licences.
Tuberculin Tested Milk ...
Pasteurised Milk ...
Sterilised Milk ...

6

4

1

4

4

3

Milk Samples: —

Ninety-three samples of Milk were collected as follows : —

Pasteurised Milk
Heat Treated Milk ...
Sterilised Milk
Ordinary Milk
Tuberculin Tested Milk

Collected Collected
at Dairies on Delivery

48 38

2 2

1 —

1 —

1 —

Total

86

4

1

1

1

24

All the abov^e were found satisfactory, with the exception of four
samples of Pasteurised Milk, which failed to pass the Phosphataze
Test.

Milk Containers: —

Forty-two washed bottles were collected from the two dairies where
milk is pasteurised and were submitted for analysis, with the

following results : —

Satisfactory ... ... ... 19

Fairly satisfactory ... ... ... ... 2

Unsatisfactory ... ... 21

The occupiers of the dairies were informed of the unsatisfactory
reports and took steps to overhaul the bottle washing machines.

Milk Production: —

At the present time there are twenty-two Cowkeepers who are
producing milk for sale, made up as follows : —

Tuberculin Tested Milk ... ... ... 8

Accredited 3

Ungraded ... 11

22

Tuberculin Tested Milk: —

Misses Hare & Hornby, Hardwick Court Farm, Chertsey.

Mr. R. Mann, Brackendene Farm, Woburn Hill, Addlestone.
Mr. J. G. Caddey, Abbey Chase Farm, Chertsey.

Major C. Micklem, Longcross House, Longcross.

Greyhound Racing Association Ltd., Home Farm, Longcross.
Mrs. E. M. Cannon, Fan Court Gardens, Longcross.

Mr. W. D. Vernon, Anningsley Park, Ottershaw.

Mr. A. E. Cawley, Home Farm, Ottershaw Park, Ottershaw.

Accredited Milk: —

Mr. R. L. Flux, Pannells Farm, Chertsey.

Mr. A. E. Smith, Crockford Bridge Farm, Addlestone.
Messrs. Gandy & Son, Almners Farm, Lyne.

Pasteurised and Heat Treated Milk: —

There are two pasteurising plants in the district, which are
regularly supervised.

25

Meat: —

There is one Government Slaughterhouse situated at Mead Lane,
Chertsey, to which 343 visits were made during the year for the
purpose of examination of carcases and offals.

The following were the number inspected : —

Cattle 3,182; Calves 510; Sheep 5,129; Pigs 332.

The total weight of meat, etc., condemned was 104,707-2 lbs. This
figure includes 63 carcases and 14 parts of other carcases affected
with Tuberculosis.

The following are details of Meat, etc., condemned: —

Beasts: —

83 Carcases
66 parts of carcases
411 Heads and Tongues
802 Livers and parts of 297
824 Lungs

177 Melts

145 Skirts

148 Manifolds ...

104 Hearts

87 Tails

83 Sets of Feet
283 Sets of Guts
161 Tripes
40 Udders
1 Tongue

Fat

7 Kidneys

Calves: —

1 Head

2 Plucks

2 Sets of Guts

lbs.

44,298

3,988

12,210

Livers 12,503

8,713

323

266

2,139-i

440

159

1,458

5,660

4,780

631

5

2,980

93

9

15

9

Pigs: —

1 1 Heads
10 Carcases
7 parts of carcases
15 Plucks

2 Lungs and Hearts

3 Livers

3 Paunches
27 Sets of Guts
Fat ...

205

1,915

144

108

7

5

18

154

15

26

Sheep: —

12 Carcases ... 428

9 parts of carcases ... ... ... ... ... 52

12 Heads and Tongues 45

51 Plucks '... 236

4 Kidney Knobs ... ... ... 21

350 Livers 523

1 Lungs and Heart ... ... ... 3

11 Paunches 27

12 Sets of Guts ... ... 18

lbs. 104,707-1

In addition to the above, five pigs were examined at private
premises and were found satisfactory.

Carcases Inspected and Condemned.

Cattle

excluding

Cows

Cows

Calves

Sheep

and

Lambs

Pigs

Number killed ...

2,112

1,070

510

5,129

332

Number inspected

2,112

1,070

510

5,129

332

All Diseases except
Tuberculosis :

Whole carcases con-
demned

4

16

12

6

Carcases of which
some part or organ
was condemned ...

212

299

2

238

23

Percentage of the num-
ber inspected affected
with disease other
than Tuberculosis

10.22%

29.44%

0.39%

4.87%

8.73%

Tuberculosis only:
Whole carcases con-
demned

19

44

- - -

4

Carcases of which
some part or organ
was condemned ...

153

510

3

16

Percentage of the num-
ber inspected affected
with Tuberculosis

8.14%

51.77%

0.58%

■

6.02%

27

Cysticercus Bovis; —

Twenty-nine cases of Cysticercus Bovis were discovered during the
year, the following table indicating the situation and number of the
cysts and the number of affected organs and parts : —

Situation

Number of Cysts

Number Affected

Heads and Tongues ...

3 in one case

2 in two cases

1 in 24 cases

27

Hearts

2 in one case

1 in three cases

4

Necks

1 cyst

1

All affected parts were

condemned, the remainder of the offals

and carcases being dealt with in the recommended manner.

Food Poisoning Outbreaks: —

There were no outbreaks of food poisoning during the year. Medical
practitioners are aware of their obligations under Section 17 of the
Food and Drugs Act, 1938, that is, to notify the Medical Officer of
Health for±with of any cases of food poisoning coming to their
notice.

Shops, etc.: —

One hundred and fifty visits were made to Food Shops, etc., during
the year.

The following are details of food found to be unsound and unfit
for human consumption: —

lbs.

22 Tins Corned Beef ... ... ... ... ... Ill

Pork ... ... ... ... ... ... ... 40

Beef 65

Mutton ... ... ... ... ... ... ... 48

1 Box Imported Pigs’ Livers ... ... ... ... 10

Fresh Fish 409 1

Cheese ... ... ... ... ... ... ... 36

4 Tins Beef and Pork 6^

207 Tins Milk 207

36 Tins Fish ... ... ... ... ... ... 25^-

4,143 Shell Eggs —

Sugar 10

29 Tins and Jars Jam, Marmalade and Mincemeat ... 35

18 Tins Tomatoes 33

165 Tins Peas ... ... ... ... ... ... 278 1

26 Tins Meat Loaf 24

1 Tin Dried Eggs ... ... ... ... ... 1

15 Tins Soup ... ... ... ... ... . 15

39 Tins Beans in Sauce 571

28

lbs.

2 Tins Vegetable Macaroni ... ... 2

127 Tins Fruit 267^

27 Jars Mixed Pickles —

7 Tins Beetroot ... 17^

4 Tins Jellied Veal ... ... ... 24

Bacon ... ... ... ... ... ... ... 44|

16 Bottles Coffee ... —

4 Jars Meat and Fish Paste ... —

15 Tins Luncheon Meat ... 36^

1 Tin Treacle 2

Macaroni ... ... ... ... ... ... 2

Flour ... ... ... ... ... ... ... 3

Suet ... ... ... ... ... ... ... 1

8 Bottles Tomato Sauce ... —

1 Bottle Orange Squash —

4 Tins Pork Brawn ... 5^

6 Tins Casserole Steak ... ... ... ... ... 6

1 Tin Tongue ... ^

3 Tins Mixed Vegetables ... ... 4^

2 Tins Grape Fruit Juice 3^

15 Tins Fruit Pulp ... 180

Butter ... 3

6 Tins Ham ... ... ^9^

1 Box Currants ... 49^

Preparation or Manufacture of Preserved Food: —

There are fourteen premises on the Register where sausages are
manufactured or pressed and pickled meat is prepared.

Sale or Manufacture of Ice Cream: —

There are eighty-two premises on the Register. In nine cases,
premises are used for manufacture and in the remaining seventy-three
the premises are used only for the retail sale of Ice Cream.

During the year, one hundred and twenty-eight visits were made
to registered premises, and, where necessary, attention was called for
improvements.

Sixteen samples of Ice Cream were collected for analysis, with the
following results : —

Grade I. ... ... ... 9

,, II. ... ... ... 3 .

„ III 2

„ IV 2

In the case of unsatisfactory reports, a careful check was made at
the plants concerned, and manufacturers were advised on cleansing
and sterilisation.

29

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30

Labelling offence.

PREVALENCE OF, AND CONTROL OVER,
INFECTIOUS AND OTHER DISEASES.

Scarlet Fever: —

Twenty cases were notified compared with thirty-six in the previous
year. The majority of these were in the age group 5-10 years.

There was no definite outbreak of ±e disease, the cases being of
±e sporadic t3rpe. Five cases were admitted to the Infectious Diseases
Hospital on account of some septic complication. All made a good
recovery after three weeks treatment.

It is not now considered necessary to remove uncomplicated cases
of scarlet fever to hospital provided adequate isolation is available
in the home.

Diphtheria: —

One case was notified in the case of a nurse from a Colony for
Mentally Defectives. She made a good recovery in the Infectious
Diseases Hospital. There was no previous history of immunisation.

Three further cases of severe tonsillitis were sent to the same
hospital for observation and treatment but were subsequently not
confirmed as diphtheria.

It is gratifying to be able to report again that no cases occurred in
school or pre-school children.

There has been a slight falling off in the numbers immunised. This
is not now carried out during the summer months when cases of
poliomyelitis are occurring.

Diphtheria Immunisation: —

The following is the estimated position showing the percentage of
children immunised in the district: —

Estimated population of children (Registrar-General’s estimate
mid-1950) : —

2,664

50%

5,227

77%

Under 5 years ...
Percentage immunised

5-14 years

Percentage immunised

It should be noted that diphtheria immtmisation is not usually
carried out until a child is approaching one year of age.

Poliomyelitis : —

Five cases occurred in 1950.

The first case, a gardener’s assistant aged 15 years, was removed
to the Infectious Diseases Hospital in July with moderately severe
paralysis of both legs. He was treated in hospital for five weeks and
made a complete recovery.

31

The second case, a nurse aged 20 years, occurred in September.
She was a mild case of bulbar paralysis and made a complete
recovery.

Three further cases occurred in November. Two were girls in
attendance at private schools. They had a minor degree of paralysis
and made an apparently complete recovery.

The fifth case, an adult female of 39 years, died in hospital after
a week’s illness, despite treatment in an artificial respirator.

None of these cases were associated in any way, nor had any been
inoculated prior to onset.

Four further cases were admitted to the Infectious Diseases
Hospital as suspected cases, but were found to be suffering from
other illnesses.

Measles: —

Two hundred and ninety-five cases were notified, mainly in the
age group 5-10 years.

Five cases in pre-school children were admitted to the Infectious
Diseases Hospital, mainly wi± lung complications. All made a good
recovery including one infant aged four months.

Whooping Cough: —

One hundred and twenty-four cases were notified, mainly in the
age group 5-10 years.

Five cases aged one or two years were admitted to the Infectious
Diseases Hospital with lung complications. All made a good recovery.

Influenza and Pneumonia: —

Two adult females were admitted to the Infectious Diseases
Hospital. Both made a good recovery.

Infective Hepatitis (Catarrhal Jaundice) : —

Three adult males were admitted to the Infectious Diseases Hospital
for treatment.

Other Diseases: —

Several cases of minor infectious diseases such as mumps and
chicken-pox were admitted to the Infectious Diseases Hospital from
general hospitals for treatment.

32

Notifiable Infectious Diseases: —

Disease

Total

Cases

Notified

Cases

admitted to
I. D. Hospital

Total

Deaths

Smallpox ...

-

-

Scarlet Fever

22*

5

—

Diphtheria ,

1

1

—

Enteric Fever (including Para-
typhoid Fever)

_

_

Puerperal Pyrexia

—

—

—

Pneumonia (Acute Primary and
Influenzal)

3

2

2

Ophthalmia Neonatorum

—

—

—

Erysipelas

4

—

—

Malaria

—

—

Acute Encephalitis Lethargica ...

—

—

—

Measles

295

5

—

Whooping Cough

124

5

—

Cerebro-spinal Fever

—

—

—

Dysentery

2

—

—

Poliomyelitis

5

2

1

.

* 2 not confirmed.

33

Notifiable Infectious Diseases (other than Tuberculosis); —

According to Age Groups.

Non-notifiable Infectious Diseases: —

The following cases occurred in Elementary Schools and Day
Nurseries : —

Disease Jan. Feb. Mar. April May June July Aug. Sept- Oct- Nov. Dec.

34

Tuberculosis — New Cases and Mortality: —

Age Periods

New

CaBe»

Deaths

Pulmonary

Non-

Pulmouary

Pulmonary

Non.

Pulmonary

M.

F.

M.

F.

M.

F.

F.

0-1 year

_

1-5 years

—

—

—

—

—

—

—

—

5-15 years

—

—

1

—

—

—

—

—

15-25 years

2

2

—

1

—

1

—

25-35 years

2

2

1

—

—

—

—

35-45 years

3

1

—

—

2

—

—

—

45-55 years

1

—

—

—

—

—

—

—

55-65 years

2

—

—

—

1

1

—

—

65 upwards

1

—

—

—

1

—

—

—

Unspecified

TOTALS ...

11

5

2

1

4

2

—

—

The total number of cases on the register at the 31st December,

1950, was as follows: —

Pulmonary

Non-Pulmonary

Males

80

28

Females

72

18

TOTAL ...

152

46

Public Health (Prevention of Tuberculosis) Regulations,
1925:—

Public Health Acts, 1926 and 1936: —

No action was required to be taken under the above Acts relating
to employment in the milk trade or relating to compulsory removal
to hospital.

Public Health Act, 1936 — Section 172: —

No case arose in which action was necessary under the above Act
and Regulations.

Tuberculosis Care Committee: —

Very useful work was carried out by this committee during the
year. All cases requiring help are considered on notification and on
discharge from a sanatorium. Particular attention is paid to adequate
housing for affected families, for it is realised that prevention of
infection in the home is all important. The Housing Committee has
been most helpful in giving priority to such deserving cases.

35

in

'-4

N,

m